Tuesday, July 9, 2024

Antibiotic Chart to Guide Acquisition

Bring Your Own Bandages:  Medicines and Supplies to Have on Hand Before Disaster Strikes is now available on Amazon.  Read the reviews and see for yourself.  Available in digital and hard copy.

Disclaimer.  I am not a licensed health practitioner.  This is just another post on knowledge and understanding you might wish to acquire in advance of a disaster in case no higher care is available.  As long as our society is functioning, you should leave anything more substantial than applying a Band-Aid to the professionals.  No medication, including those available over the counter, should be taken without consulting a physician.  Information shared here is for educational and entertainment purposes only.  It is not medical advice nor a substitute for licensed medical care. 

I thought this chart might be helpful in considering common conditions for which you will want to have antibiotics and the usual dosages per course of treatment.  I figured it might be a means of determining the numbers of any given antibiotic that you want to have on hand.  THIS IS NOT TO BE INTERPRETED AS A PRESCRIPTION FOR ANY GIVEN MEDICAL CONDITION.  It is only to help you calculate quantities you may wish to acquire for your family.


Condition
First Choice
Second choice
Notes
Biological weapons
Anthrax
Ciprofloxacin 500 mg/2x per day/60 days
Doxycycline 100 mg/2x per day/60 days

Plague
Doxycycline 100 mg/2x per day/10 days
Ciprofloxacin 500 mg/2x per day/10-14 days
Moxifloxacin 400 mg/1x per day/10 days
Cholera
Doxycycline 100 mg/2x per day/10 days
Ciprofloxacin 500 mg/2x per day/10-14 days

Tularemia
Doxycycline 100 mg/2x per day/10 days
Ciprofloxacin 500 mg/2x per day/10-14 days

Skin infections
Staphylococcus
SMZ-TMP DS 2x per day
Clindamycin 500 mg/3x per day
Doxycycline 100 mg/2x per day
SMZ-TMP DS
(Number of days for treatment will be based on how quickly condition resolves)
Streptococcus
Penicillin
Ampicillin
Augmentin
Cephalexin
Clindamycin
(Number of days for treatment will be based on how quickly condition resolves.  Plan on at least 10 days per incident.)
Cat and dog bites
Augmentin 250-500 mg/3x per day/3-5 days
Penicillin 500 mg/4x per day/3-5 days

Amoxicillin 500 mg/3x per day/3-5 days
Erythromycin 250-500 mg/3-4x per day/3-5 days
Prophylactic treatment should begin immediately after every cat bite, as most cat bites will cause infection.  Amounts provided here are all for bites that do not show signs of infection.  If a bite has already become infected, treatment with the same antibiotics and dosages lasts 7-10 days.
Cellulitis
SMZ-TMP DS 2x per day
Augmentin 875 mg/2x per day
Clindamycin 500 mg/3x per day
Cephalexin 1000 mg/2x per day
(Number of days for treatment will be based on how quickly condition resolves.  Plan on at least 10 days per incident.)
Tick bites
Prophylactic use: doxycycline 200 mg once; disease treatment:  100 mg/2x per day/10-14 days


Typhus
Doxycycline 100 mg/2x per day/7-10 days


Respiratory tract infections
Pneumonia
IV/IM antibiotics best
Levofloxacin 750 mg/1x per day OR
Augmentin 1000 mg/2x per day OR
Amoxicillin 1000 mg/3x per day PLUS
Azithromycin OR
Moxifloxacin 400 mg/4x per day

Aspiration pneumonia
IV/IM antibiotics best
Moxifloxacin 400 mg/4x per day

“Walking” pneumonia
Ciprofloxacin 500 mg/2x per day
Levofloxacin 750 mg/2x per day
Doxycycline 100 mg/2x per day
Erythromycin 400 mg/3x per day

Bronchitis
Azithromycin 500 mg first day, 250 mg per day/7 days
Clarithromycin 500 mg/2x per day
SMZ-TMP DS 2x per day

Strep throat
Penicillin
Amoxicillin
Clindamycin
Azithromycin
Clarithromycin
Dosage and duration depend on age and weight of patient
Dental infections
Amoxicillin
Clindamycin

Sinusitis
Augmentin 1000 mg/2x per day/7-10 days
Levofloxacin 750 mg/1x per day/7-10 days

Otitis Media (ear infection)
Amoxicillin
Augmentin

Dosage and duration depend on age and weight of patient
Gastrointestinal infections
Giardia
Metronidazole 250 mg/3x per day/5-7 days


Post-antibiotic colitis
Metronidazole 500 mg/3x per day/14 days


Cholera
Azithromycin 1000 mg 1x
Doxycycline 300 mg 1x
Erythromycin 500 mg/1x per day/3 days

Traveler’s diarrhea
Levofloxacin 500 mg/1x per day/1-3 days
Azithromycin 500 mg/1x per day/3 days

Salmonella
Levofloxacin 500 mg/1x per day/7-10 days
Azithromycin 500 mg/1x per day/7-10 days

Shigella
Ciprofloxacin 750 mg/2x per day/3 days
Azithromycin 500 mg/1x per day/3 days

Diverticulitis
SMZ-TMP DS OR levofloxacin 750 mg/1x per day/7-10 days PLUS
Metronidazole 500 mg/1x per day/7-10 days


Appendicitis
Augmentin 500 mg/3x per day OR
SMZ-TMP DS OR
Ciprofloxacin 500 mg/2x per day PLUS
Metronidazole 500 mg/3-4x per day

Continue taking until 3-4 days after symptoms have resolved.
Urinary tract infections
Lower UTI
SMZ-TMP DS 2x per day/7 days
Ciprofloxacin 500 mg/2x per day
Levofloxacin 400 mg/1x per day

Upper UTI
IV/IM antibiotics best
IV/IM antibiotics best



As you make your decisions about what to stockpile, consider the following:

  • Which of these infections are you and your family members actually susceptible to?  We don’t have problems with sinus infections, so I don’t even look at what’s required for treating those.  Strep throat and ear infections are pretty common in young children, so I’d store a lot more penicillin if I had a young family.   
  • Look at the cost per pill.  Doxycycline is ridiculously cheap; if I’ve got a choice between using that or just about anything else, I’ll go with doxy, after discussing it with my doctor, of course. 
  • Consider the side effects.  Not only is ciprofloxacin on the more expensive side, it can have some really undesirable side effects.  I stock it because it may be the best choice for some conditions.   
  • Remember, you aren’t making the decisions about what to use and when.  You are merely stockpiling these antibiotics for a time of need when a physician can prescribe what is best.  You just want to give the doctor the right tools for the job. 

If the thinking and calculating quantities are more than you want to do, you can go with Dr. Koelker’s simplified list.  It’s posted here, and you can find it in her book, Armageddon Medicine, as well.  Her list does not include several of the antibiotics listed above, most notably levofloxacin and clindamycin, but those two can be covered by other antibiotics.  It’s just that levofloxacin and clindamycin are the first choices in some cases.  
 
11 July 2024  A reader emailed me about including a link to Jase Medical (https://jasemedical.com/), a company I was unaware of when this article originally posted a few years ago.  (As you know, I have other projects this summer and most articles until September will be repeats.)  I have no experience with them but have heard good things.  They are expensive.
  
Links to related posts:
Acquiring Antibiotics
Armageddon Medicine 
Appendicitis
Cholera
Tick-borne Illnesses 
Dog and Cat Bites
Typhus

For further reading:
https://www.cdc.gov/anthrax/pdf/cipro-eui-hcp-H.pdf
https://www.cdc.gov/anthrax/medical-care/doxy-eui-hcp.html
https://www.cdc.gov/plague/resources/Recommended-antibiotics-for-plague_revision-Aug-2015_Final-(00000002).pdf